Managed Healthcare Resources NCQA Tools & Templates - Credentialing
MHR’s tools and templates for Credentialing (CR) help healthcare organizations meet NCQA Credentialing standards, which describe and assess how health plans verify healthcare practitioners' and organizational providers' qualifications and credentials. MHR’s resources support NCQA accreditation by promoting accurate documentation, efficient review workflows, and proven methods for ensuring compliance with NCQA standards.
CR 5A & B Ongoing Monitoring PDF Prep Template
Instructions & bookmark template on assembling evidence in compliance with CR 5A-B.
CR 7D-E Organizational Provider Worksheet Template
A template to list and track the credentialing requirements for organizational providers.
CR 8 Credentialing Information Integrity Audit Analysis
Analysis template for CR Information Integrity, with tables to enter requisite data.
CR 8 Information Integrity Audit Tool
Tool that allows for auditing all types of credentialing information as specified in CR 8A Factor 1.
NPDB Guidebook
The guidebook serves as a policy manual for the NPDB [National Practitioner Data Bank].
Want to purchase or need help?
Request infoQuick Links - MHR Tools and Templates
Select the desired scope area(s) below to see all Tools and Templates available.
- Across Standards
- Credentialing & Recredentialing (CR/RR)
- Delegation
- File Review Tools & Guides
- Gap Assessments (Included with MHR Consulting)
- Health Equity (HE)
- Long-term Services and Supports (LTSS)
- Member Experience (ME)
- Model of Care (MOC)
- Network Management (NET)
- Population Health Management (PHM)/Population Health Program (PHP)
- Quality Improvement (QI)
- Successful Survey
- Utilization Management (UM)
